Individual
GEORGE TODOROV BACKARDJIEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3141 SABA LN, PORT NECHES, TX 77651-5421
(409) 722-9995
(409) 539-6095
Mailing address
3141 SABA LN, PORT NECHES, TX 77651-5421
(409) 722-9995
(409) 539-6095
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036-115001
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
N4270
TX
207VG0400X
Gynecology Physician
036-115001
IL
207VG0400X
Gynecology Physician
N4270
TX
207VX0000X
Obstetrics Physician
036-115001
IL
207VX0000X
Obstetrics Physician
N4270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194047084
—
TX
05
—
1295948594
—
TX
Enumeration date
05/07/2007
Last updated
12/03/2012
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